TANISHA RAION ALLEN (NPI# 1942752407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942752407 |
Entity Type | Individual |
Full Name | TANISHA RAION ALLEN |
Other Name | TANISHA ALLEN PATILLO |
Credential | NP |
Practice Address |
1 Medical Plaza Pl Minden LA 71055-3330 |
Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
Practice Telephone | 3183772321 |
Practice Fax Number | 3183715606 |
Mailing Telephone | 8008939698 |
Enumeration Date | 2016-11-01 |
Last Update Date | 2020-01-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN127133 | LA | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09068 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1509 Dulles Dr, Lafayette, LA 705063718 | 3379919276 | 3379919288 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699251264 | Tanisha Allen | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-17 |
Street Address |
1 MEDICAL PLAZA PL |
City | MINDEN |
State | LA |
Zip Code | 71055-3330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114907649 | Larry Joe Haley | Nurse Anesthetist, Certified Registered | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2006-01-19 |
1972156040 | Angela Potter Dison | Nurse Practitioner | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2019-07-18 |
1710456736 | Minden Anesthesia LLC | Anesthesiology | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2018-11-20 |
1689125072 | Minden Medical Center | Social Worker | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2016-10-20 |
1295280436 | Philip Jake Killgore | Nurse Anesthetist, Certified Registered | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2016-08-17 |
1659735306 | Webster Physician Services, LLC | Physician Assistant | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2016-04-08 |
1285916254 | Minden Physician Practices LLC | Obstetrics & Gynecology | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2011-09-15 |
1255619664 | Shara D Farmer | Registered Nurse | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2011-08-02 |
1174801575 | Stefanie T Bond | Dietitian, Registered | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2011-08-02 |
1548573751 | Allen Ray Mosley | Nurse Practitioner | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2010-07-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
Find all providers in zip 71055 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
1336764604 | Kaleigh Marie Stephenson | Nurse Practitioner | 102 S Monroe St Ste B, Minden, LA 71055-3357 | 2020-06-12 |
1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
1033451943 | Rebecca P Brown | Nurse Practitioner | 910 Cline St, Minden, LA 71055-3016 | 2013-03-19 |
1740544352 | Kristi G Williams | Nurse Practitioner | 216 W Union St Ste B, Minden, LA 71055 | 2012-06-28 |
1508825266 | Sallie Lee Bethea | Nurse Practitioner | 1400 Drake Dr, Minden, LA 71055-9045 | 2006-03-21 |
1336758846 | Stephanie Ann Prather | Nurse Practitioner | 1649 Lucerne St, Minden, NV 89423-4369 | 2020-07-30 |
1831641448 | Brenda Hawkins | Nurse Practitioner | 1111 Homer Rd, Minden, LA 71055-3027 | 2016-10-30 |
1528443249 | Angela Fussell | Nurse Practitioner | 1111 Homer Rd, Minden, LA 71055-3027 | 2015-07-23 |
Find all providers in MINDEN |
Please comment or provide details below to improve the information on TANISHA RAION ALLEN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.